Individual provider Active NPI

Abby Lynn Becherer Bartholomew, DDS

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1134615941
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11164 Issued in NC
Practice address
1086 Whitaker Rd
Winston Salem, NC 27106-4823
Phone
(336) 765-9247
Fax
(336) 765-6960
NPI assigned
Jul 4, 2018
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11164 NC Primary

Addresses

Primary practice location

1086 Whitaker Rd
Winston Salem, NC 27106-4823

Mailing address

1086 Whitaker Rd
Winston Salem, NC 27106-4823
Phone (336) 765-9247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11164NCMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M. Wilkinson, Jr., D.D.S., P.a. PastSince Dec 5, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1134615941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 WHITAKER RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064823",
            "telephone_number": "336-765-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 WHITAKER RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064823",
            "telephone_number": "336-765-9247",
            "fax_number": "336-765-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECHERER BARTHOLOMEW",
        "first_name": "ABBY",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.